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8 Cards in this Set
- Front
- Back
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Lidocaine:
Class |
Ventricular Antiarrhythmic
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Lidocaine:
Route: |
IV push (no faster than 50mg/minute in conscious patients
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Lidocaine:
Initial dose |
Adult ventricular fibrillation or pulseless v-tach - 1.5 mg/kg
Unstable ventricular tachycardia - 1.5mg/kg Non-sustained ventricular tachycardia or treatable PVC's 1mg/kg Repeat bolus - .5mg/kg Note: maximum total dose is 3 mg/kg Pedi: 1mg/kg |
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Lidocaine:
Drug Action |
Suppresses ventricular ectopy
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Lidocaine:
Indications` |
Ventricular rhythms of irritability; PVC's or runs of V-Tach, V-fib.
Note: We (biotel) give lidocaine (1.5 mg/kg) only in traume OR if the patient converts with only a shock before any other drugs are given. Prophylaxis: To prevent recurrence of V-fib or V-tach after initial defibrillation or cardioversion converts these rhythms |
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Lidocaine:
Precautions |
Consider reduced dosage in patients over 65 or thosee with a hx of liver disease or CHF.
Notify physician if pt has "caine" allergy. Lidocaine has a short half-life (20 minutes) and must be followed by a maintenance Lidocaine IV PB drip if it successfully converts the ventricular arrhythmia. Continually monitor ECG, BP and LOC. If Bradycardia is present with PVC's or runs of V-tach, treat Brady first. |
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Lidocaine:
Side effects |
Toxicity (early): Drowsy, light-headedness, blurred vision.
Toxicity (late): Hypotension, change in level of consciousness, seazures. |
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Lidocaine:
Contraindications |
Life-sustaining ventricular excapt rhythms associated with bradycardia or 2 or 3 degree heart blocks.
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